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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">

<html>

<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-15">
<title>Welcome To Free Zone</title>
<link rel="stylesheet" type="text/css" href="./css/baranwal.css" />
</head>
<body>


<div id="topPanel1">
<a href="/">Home</a>&nbsp;&nbsp;|&nbsp;&nbsp;
<a href="/profile">My Profile</a>&nbsp;&nbsp;|&nbsp;&nbsp;
<a href="{{ url }}">{{ url_linktext }}</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</div>

<div id="topPanel2">
<p><h3>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Welcome To Free Zone</h3></p>
</div>

<div id="leftPanel">
<p>&nbsp;&nbsp;&nbsp;&nbsp;Create Profile :

</div>



<!-- Main content box of page - acts as the "frame" in this design -->
<div id="contentsBox">
<p>



  <form action="/sign" method="post">
<table>
<tr>
	<td>*First Name : </td>
	<td><input type="text" name="firstName"></td>
</tr>
<tr>
	<td>*Last Name: </td>
	<td><input type="text" name="lastName"></td>
</tr>
<tr>
	<td>Date of Birth : </td>
	<td><input type="text" name="birthDate"></td>
</tr>
<tr>
	<td>Gender : </td>
	<td>
		<input type="radio" name="gender" value="Male" checked >Male
		<input type="radio" name="gender" value="Female">Female
	</td>
	<!--td><input type="text" name="gender"></td-->
</tr>
<tr>
	<td>Marital Status : </td>
	<td>
		<input type="radio" name="maritalStatus" value="Single" checked >Single
		<input type="radio" name="maritalStatus" value="Married">Married
	</td>
	<!--td><input type="text" name="maritalStatus"></td-->
</tr>
<tr>
	<td>Country : </td>
	<td><input type="text" name="country"></td>
</tr>
<tr>
	<td>State : </td>
	<td><input type="text" name="state"></td>
</tr>
<tr>
	<td>City : </td>
	<td><input type="text" name="city"></td>
</tr>
<tr>
	<td>Pin : </td>
	<td><input type="text" name="pin"></td>
</tr>

<tr>
	<td>Present Address: </td>
	<td><textarea name="presentAddress" rows="5" cols="30"></textarea></td>
</tr>
<tr>
	<td>Permanent Address: </td>
	<td><textarea name="permanentAddress" rows="5" cols="30"></textarea></td>
</tr>
<tr>
	<td>*Email Address: </td>
	<td><input type="text" name="emailAddress"></td>
</tr>
<tr>
	<td>Mobile Number : </td>
	<td><input type="text" name="mobileNumber"></td>
</tr>
<tr>
	<td>Landline Number : </td>
	<td><input type="text" name="landlineNumber"></td>
</tr>
<tr>
	<td>About  Yourself : </td>
	<td><textarea name="aboutYourself" rows="5" cols="30"></textarea></td>
</tr>
<tr>
	<td>Ideal Match : </td>
	<td><textarea name="idealMatch" rows="5" cols="30"></textarea></td>
</tr>
<tr>
	<td>Looking For : </td>
	<td><textarea name="lookingFor" rows="5" cols="30"></textarea></td>
</tr>
<tr>
	<td></td>
	<td></td>
</tr>
<tr>
	<td></td>
	<td><input type="submit" value="Submit" ></td>
</tr>
<tr>
	<td></td>
	<td></td>
</tr>
<tr>
	<td></td>
	<td></td>
</tr>
</table>

          </form>




</div>

<div id="rightPanel">
<!-- ++Begin News Bar Wizard Generated Code++ -->
  <!--
  // Created with a Google AJAX Search Wizard
  // http://code.google.com/apis/ajaxsearch/wizards.html
  -->

  <!--
  // The Following div element will end up holding the actual newsbar.
  // You can place this anywhere on your page.
  -->
  <div id="newsBar-bar">
    <span style="color:#676767;font-size:11px;margin:10px;padding:4px;">Loading...</span>
  </div>

  <!-- Ajax Search Api and Stylesheet
  // Note: If you are already using the AJAX Search API, then do not include it
  //       or its stylesheet again
  -->
  <script src="http://www.google.com/uds/api?file=uds.js&v=1.0&source=uds-nbw"
    type="text/javascript"></script>
  <style type="text/css">
    @import url("http://www.google.com/uds/css/gsearch.css");
  </style>

  <!-- News Bar Code and Stylesheet -->
  <script type="text/javascript">
    window._uds_nbw_donotrepair = true;
  </script>
  <script src="http://www.google.com/uds/solutions/newsbar/gsnewsbar.js?mode=new"
    type="text/javascript"></script>
  <style type="text/css">
    @import url("http://www.google.com/uds/solutions/newsbar/gsnewsbar.css");
  </style>

  <script type="text/javascript">
    function LoadNewsBar() {
      var newsBar;
      var options = {
        largeResultSet : false,
        title : "In the news",
        horizontal : false,
        autoExecuteList : {
          executeList : ["science", "engineering", "technology", "India"]
        }
      }

      newsBar = new GSnewsBar(document.getElementById("newsBar-bar"), options);
    }
    // arrange for this function to be called during body.onload
    // event processing
    GSearch.setOnLoadCallback(LoadNewsBar);
  </script>
<!-- ++End News Bar Wizard Generated Code++ -->

</div>

</body>

 </html>